Active NPI
Sandra A Secrest
- Pharmacist
- Urbana, IL
National Provider Identifier
1811264682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051031023
- Practice address
- 302 E University Ave
Urbana, IL 61802-2500 - Phone
- (217) 344-7201
- NPI assigned
- Nov 22, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051031023 | IL | Primary |
Addresses
Primary practice location
302 E University Ave
Urbana, IL 61802-2500
Mailing address
265 W Bond St
Bement, IL 61813-1404
Phone (217) 678-3231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051031023 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1811264682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 W BOND ST",
"city": "BEMENT",
"state": "IL",
"postal_code": "618131404",
"telephone_number": "217-678-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 E UNIVERSITY AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618022500",
"telephone_number": "217-344-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SECREST",
"first_name": "SANDRA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-22",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051031023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.